Provider First Line Business Practice Location Address:
MATERNAL AND WOMEN'S HEALTH
Provider Second Line Business Practice Location Address:
1001 E PENNSYLVANIA AVE
Provider Business Practice Location Address City Name:
OTTUMA
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52501-2195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-684-2395
Provider Business Practice Location Address Fax Number:
615-684-2534
Provider Enumeration Date:
06/08/2005